Catheter hub

ABSTRACT

A catheter hub includes a distal assembly including a distal hub member adapted to be fixedly attached to an outer catheter and a proximal assembly including a proximal hub member adapted to be fixedly attached to an inner catheter disposed through the outer catheter. An elongate member connects the proximal and distal assemblies such that the proximal and distal assemblies can translate longitudinally relative to one another.

CROSS-REFERENCE TO RELATED APPLICATIONS

The present application claims priority from and is a divisional fromU.S. patent application Ser. No. 13/083,053, filed Apr. 8, 2011, whichclaims priority from U.S. Provisional Patent Application Ser. No.61/322,242, filed on Apr. 8, 2010, all herein incorporated by referencein their entireties.

FIELD OF THE INVENTION

The present invention relates generally to catheters and moreparticularly to catheter hub assemblies.

BACKGROUND OF THE INVENTION

An intravascular medical device may be attached to a distal end of aninner catheter and held within an outer catheter for introduction into apatient. The intravascular medical device may, for example, be avascular or vena cava filter for capturing embolic material in the bloodflow, a stent, an embolic filter, an angioplasty balloon, a drugdelivery device, or similar such minimally invasive intravasculardevice.

The inner and outer catheters may be introduced into a patient over aguidewire. Upon positioning the intravascular medical device within thevasculature at the site of treatment, the outer catheter is retractedfrom the inner catheter to release the device from the outer catheter.Because the inner and outer catheters are typically made from alongitudinally flexible material to allow navigation of the catheterassembly through the vasculature during insertion to the site oftreatment, neither of the inner or outer catheters may have goodresistance to kinking The kinking resistance may not be an issue duringcatheter insertion because the inner and outer catheters areconcentrically disposed and may be disposed over a guide wire. However,upon reaching the site of treatment, kinking of the inner catheterduring refraction of the outer catheter may present problems to amedical professional during a procedure

An intravenous catheter introducer is known in the art and includes apair of telescoping members disposed between a hub on a distal end and aflash housing on a proximal end of the telescoping members. Prior tocatheter introduction, the telescoping members are retracted such thatthe hub and flash housing are juxtaposed and a sharpened cannula tipextends from a distal end of the catheter introducer. The cannula tip isused to pierce a blood vessel such that the peripheral intravenouscatheter can be introduced into the blood vessel over the cannula. Thecatheter introducer is subsequently withdrawn exposing the sharpenedcannula tip now soiled with blood from the patient. The sharpenedcannula tip is subsequently covered by a portion of the catheterintroducer by pulling the hub and the housing apart until thetelescoping members lock out further movement.

Kinking of the cannula is not an issue in catheter introducers becausefriction of the hub and housing being pulled apart provides a tensionforce to the cannula. In contrast, kinking can be a problem for acatheter hub having inner and outer catheter members because the actionof withdrawing the outer catheter over the inner catheter frictionallyprovides a longitudinally compressive force to the inner catheter.Accordingly, there remains a need for an improved catheter hub thataddresses the kinking problem.

SUMMARY OF THE INVENTION

In one aspect of the present invention, a catheter hub includes a distalassembly including a distal hub member adapted to be fixedly attached toan outer catheter and a proximal assembly including a proximal hubmember adapted to be fixedly attached to an inner catheter disposedthrough the outer catheter. An elongate member connects the proximal anddistal assemblies such that the proximal and distal assemblies arecapable of longitudinal translation relative to one another.

In another aspect of the invention, a catheter hub includes a distal hubmember adapted to be fixedly attached to an outer catheter, a proximalhub member adapted to be fixedly attached to an inner catheter disposedthrough the outer catheter, a proximal member, and a distal member. Anelongate member connects the proximal and distal members. At least oneof the proximal and distal members is slidably attached to the elongatemember. The distal member is attached to the distal hub member and theproximal member is attached to the proximal hub member.

In a further aspect of the invention, a catheter hub includes a distalhub member adapted to be fixedly attached to an outer catheter and aproximal hub member adapted to be fixedly attached to an inner catheterdisposed through the outer catheter. A telescoping member connects theproximal and distal hub members. The proximal hub member connects to thedistal hub member when the telescoping member is in a longitudinallycollapsed state.

The foregoing summary, as well as the following detailed description ofthe preferred embodiments, will be understood when read in conjunctionwith the appended drawings.

BRIEF DESCRIPTION OF THE FIGURES

FIG. 1 is an isometric view of an embodiment of a hub assembly in anextended state.

FIG. 2 is an isometric view of the hub assembly of FIG. 1 in a collapsedstate.

FIG. 3 is an isometric view of the hub assembly of FIG. 1 in a connectedstate.

FIG. 4A is an isometric view of the hub assembly without the proximalhub or the distal hub members; and FIG. 4B is an isometric view of thehub assembly of FIG. 1 in a detached state without the proximal anddistal members.

FIG. 5 is an isometric view of another embodiment of a hub assembly inan extended state.

FIG. 6A is an isometric view of the hub assembly of FIG. 5 in aconnected state for the proximal and distal members; and FIG. 6B is anisometric view of the hub assembly of FIG. 5 in a connected state forthe proximal and distal hub members.

FIG. 7 is an isometric view of a further embodiment of a hub assembly inan extended state.

FIG. 8 is an isometric view of a close-up of a telescoping portion ofFIG. 7.

FIG. 9A is an isometric view of a close-up of a first telescopingportion of FIG. 8; and FIG. 9B is an isometric view of a close-up of asecond telescoping portion of FIG. 8.

FIG. 10A is an isometric view of yet another embodiment of a hubassembly in an extended state; and FIG. 10B is an isometric view of thecollapsible tube within the telescoping member.

FIG. 11 is an isometric view of the hub assembly of FIG. 10 in acollapsed state.

FIG. 12 is proximal elevation of the hub assembly of FIG. 10.

FIG. 13 is an isometric view of still another embodiment of a hubassembly in an extended state.

FIG. 14 is an isometric view of the hub assembly of FIG. 13 in acollapsed state.

FIG. 15 is an isometric view of the hub assembly of FIG. 13 in aconnected and broken-away state.

FIG. 16 is an isometric view of a further embodiment of a hub assemblyin an extended state.

FIG. 17 is an isometric view of another embodiment of a hub assembly inan extended state.

FIG. 18 is an isometric view of the hub assembly of FIG. 17 in aconnected state.

FIG. 19A is a plan view of yet another embodiment of a hub assembly inan extended state.

FIG. 19B is a side view of the hub assembly of FIG. 19A in an extendedstate.

FIG. 20A is a plan view the hub assembly of FIG. 19A in a connectedstate.

FIG. 20B is a side view of the hub assembly of FIG. 19A in a connectedstate.

FIG. 21A is an isometric view of yet another embodiment of a hubassembly in an extended state.

FIG. 21B is a plan view of the hub assembly of FIG. 21A in an extendedstate.

FIG. 21C is a side view of the hub assembly of FIG. 21A in an extendedstate.

FIG. 22A is an isometric view of the hub assembly of FIG. 21A in aconnected state.

FIG. 22B is a plan view of the hub assembly of FIG. 21A in a connectedstate.

FIG. 22C is a side view of the hub assembly of FIG. 21A in a connectedstate.

The foregoing and other features and advantages of the invention areapparent from the following detailed description of exemplaryembodiments, read in conjunction with the accompanying drawings, whereinlike structural or functional elements are designated by like referencenumerals.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENTS

In the following description, spatial orientation descriptors “distal”and “proximal” are used relative to the longitudinal axis of thecatheter assembly. Thus, a “proximal” side refers to a side of anelement generally facing the medical professional and away from thepatient and, conversely, a “distal” side refers to a side of an elementgenerally facing away from the medical professional and toward thepatient. Likewise a pair of elements described as “proximal” and“distal” elements are understood to have the same spatial relationshipas described hereinabove for the sides of an element.

Generally speaking, the catheter hub assembly includes an outer catheterand an inner catheter in which the inner catheter is concentrically andcoaxially positioned within the outer catheter and the outer catheterand inner catheter are axially moveable relative to one another. Moreparticularly, a proximal catheter hub limits and/or controls therelative axial movement of the inner catheter relative to the outercatheter and that provides a locked position and kinking resistance forthe inner catheter during its axial movement relative to the outercatheter. In some embodiments, proximal and/or distal hub components aresmall relative to the larger translation distance between the proximaland distal hub components.

Referring to FIGS. 1-4, in one embodiment, a hub assembly 50 for acatheter is illustrated in an expanded state. In one embodiment, thecatheter is a central access catheter, although, the hub assemblies maybe applied to other delivery systems. The hub assembly 50 generallycomprises a distal assembly longitudinally engaged with a proximalassembly 62 by at least one elongate member 72. The distal assemblyincludes a distal hub member 52 and a distal member 54, whereby thedistal hub member 52 may be removably attached to the distal member 54.Likewise, the proximal assembly 62 includes a proximal hub member 58 anda proximal member 60, whereby the proximal hub member 52 may beremovably attached to the proximal member 60. Each of the proximal anddistal members 60, 54 may include first and second members 82, 84 forremovable attachment to the proximal and distal hub members 58, 52. Theproximal hub member 60 and the distal hub member 52 are operably coupledby an inner catheter 66.

The distal hub member 52 is adapted to be distally attached to an outercatheter 64 of a central access catheter. The attachment of the distalhub member 52 to the outer catheter 64 may be a fixed attachment, aremovable attachment, a rotatable attachment, a magnetic attachment, ora slidable attachment, and may be via a fastener, an adhesive, a pressfit, a snap fit, or via any method of attachment. Similarly, theproximal hub member 58 is adapted to be attached to the inner catheter66 that is slidably disposed through the outer catheter 64. Theattachment of the proximal hub member 58 to the inner catheter 66 may bea fixed attachment, a removable attachment, a rotatable attachment, amagnetic attachment, or a slidable attachment, and may be via afastener, an adhesive, a press fit, a snap fit, male and female luers,or via any method of attachment. The distal hub member 52 and/or theproximal hub member 58 may also include a port 68 (illustrated on thedistal hub member 52 in FIGS. 1-4) that allows fluid to be introducedthrough an interior space 70 between the inner and outer catheters 66,64 when the distal hub member 52 is engaged with the proximal hub member58. Alternatively, the port 68 may include multiple ports, as to couplewith multiple lumens in the outer catheter 66 or converge into a singlelumen in the outer catheter 66. In one embodiment, the interior space 70is concentrically disposed between the inner catheter 66 and the outercatheter 64.

The at least one elongate member 72 connects the proximal assembly 62and the distal assembly 56, such that the proximal and distal assemblies62, 56 may be translated longitudinally relative to one another, asshown in the contracted state in FIG. 2. In one embodiment, the at leastone elongate member 72 resides laterally adjacent to and parallel withthe inner catheter 66. In this embodiment, the proximal member 60 ispart of the proximal assembly 62 and the distal member 54 is part of thedistal assembly 56, such that the elongate member 72 connects theproximal member 60 and the distal member 54 in a manner that permitstheir relative movement. For example, the proximal member 60 may beslidably attached to the elongate member 72 through and the distalmember 54 may be fixedly attached to the elongate member 72 through.Alternatively, for example, the distal member 54 may be slidablyattached to the elongate member 72 and the proximal member 60 may befixedly attached to the elongate member 72, or both the proximal member60 and the distal member 54 may be slidably attached to the elongatemember 72.

As shown in FIGS. 1-2, the proximal and distal assemblies 62, 56 (or theproximal and distal members 60, 54) are translated relatively toward oneanother, and the inner catheter 66 slidably translates distally throughthe outer catheter 64. The proximal member 58 includes a first connector100 disposed on the distal side of the proximal member 58 and positionedcoaxially over the inner catheter 66. The distal member 54 includes asecond connector 102 on the proximal side if the distal member 54 andpositioned coaxially over the inner catheter 66. When the proximal anddistal assemblies 62, 56 (or the proximal and distal members 60, 54) arebrought together, as illustrated in FIG. 2, the first and secondconnectors 100, 102 engage with one another. For example, the firstconnector 100 may include a lumen concentrically larger than theexterior surface of the second connector 102, whereby the secondconnector 102 concentrically or coaxially fits within the firstconnector 100. Alternatively, the second connector 102 may include alumen concentrically larger than the exterior surface of the firstconnector 100, whereby the first connector 100 concentrically orcoaxially fits within the second connector 102. The connection of thefirst and second connectors 100, 102 may be by fastener, an adhesive, apress fit, a snap fit, or via any method of connection for the proximalhub member 58 and the distal hub member 52 to be connected.

As shown in FIGS. 1-3, the slidable attachment of the proximal member 60or the distal member 54 to the elongate member 72 may be via an aperture74 disposed through the proximal member 60 and/or the distal member 54.The aperture 74 is adapted to accommodate the elongate member 72 and isfurther adapted to allow the proximal member and/or the distal member66, 54 to slide longitudinally thereon. In one embodiment, the aperture74 coaxially accommodates the elongate member 72. Alternatively, theaperture 74 may accommodate any configuration of the elongate member 72,including, but not limited to a polygonal configuration, a squareconfiguration, an ellipitical configuration, hexagonal configuration,and the like. In one embodiment, a slidable connection between theelongate member 72 and one or both of the proximal member 60 and thedistal member 54 may be facilitated via a T-shaped tongue and groove(not shown), a C-clamp partially or entirely surrounding a cross-sectionof the elongate member (not shown), a C-clamp having inwardly pointingshoulders accommodated by a pair of oppositely disposed longitudinalgrooves on the elongate member 72 (not shown), or by any method ofslidable attachment as known in the art. Either of both of the elongatemember 72 or aperture 74 may be provided with at least one restrictionelement (not shown) that intermittently interrupts the longitudinalmovement of the proximal member 60 and/or the distal member 54 along theelongate member 72 through the aperture 74. Examples of restrictionelements may include, for example, detents and cooperating projections,interference rings or similar structures.

A fixed attachment of the proximal member 60 or the distal member 54 tothe elongate member 72 may be via a fastener, an adhesive, a press fit,a snap fit, or via any method of attachment as known in the art. Forexample, as illustrated in FIGS. 1-3, in one embodiment, a surfacegroove 76 is disposed longitudinally along the exterior surface of theelongate member 72. The surface groove 76 accommodates a set screw 78disposed through an aperture 80 in one or both of the proximal anddistal members 60, 54. The aperture 80 may be threaded, such that theset screw 78 may be tightened to fixedly attach the proximal member 60or the distal member 54 at a desired location on the elongate member 72.Further, the proximal and/or distal member 60, 54 may include a rib (notshown) on the interior surface of the proximal or distal member 54, 60,whereby the rib is adapted to extend into the surface groove 76 toinhibit relative rotation between the proximal and/or distal member 60,54 and the elongate member 72. Alternatively, the elongate member 72 mayinclude at least two surface grooves 76 disposed longitudinally alongthe exterior surface, such as to accommodate a set screw 78 on the topand bottom portions of the proximal and distal members 60, 54.

FIG. 3 illustrates the first and second connectors 100, 102 (andtherefore the proximal and distal hub members 58, 52) in a connectedstate, such that in this embodiment, the connector 102 is within theconnector 100 and is therefore not visible. The first and secondconnectors 100, 102 may be connected to one another via a quick-connectfitting, a press fit, a snap fit, a threaded connection, or by anymethod of detachable attachment as known in the art. Subsequent toattachment of the proximal and distal hub members 58, 52, translating ofthe outer catheter 64 proximally relative to the inner catheter 66 mayproceed. The proximal and distal members 60, 54 may remain attached tothe proximal and distal hub members 58, 52, as illustrated by FIG. 3.Alternatively, in this embodiment, the proximal and distal members 60,54 may be detached from the proximal and distal hub members, asdisclosed hereinabove.

Each of the proximal and distal members 60, 54 may include longitudinalextensions 104, as illustrated in FIGS. 1-4., which give the proximaland distal members 60, 54 a substantially L-shape. Alternatively, theproximal and distal member 60, 54 may have a substantially H-shape orwinged shaped, such as to accommodate the longitudinal extensions 104.The longitudinal extensions 104 may facilitate a larger surface on whichto apply the above-noted force to counter the closing force of thetorsional springs. The extensions 104 may also mesh together or operablyengage, as illustrated in FIGS. 2-4A, when the hub assembly 50 is in acollapsed state. Such meshing or engagement facilitates ease of handlingand may alert a medical professional that the first and secondconnectors 100, 102 are in contact and ready to be connected or that theconnectors 100 and 102 have been engaged and the assemblies 56, 62 canbe removed.

In one embodiment, as illustrated in FIGS. 4A-4B, the distal hub member52 is detachable from the distal assembly 56 and the proximal hub member58 is detachable from the proximal assembly 62. Further, the distal hubmember 52 is detachably attached to the distal member 54 and theproximal hub member 58 is detachably attached to the proximal member 60.A detachable attachment of the distal hub member 52 to the distal member54 and/or of the proximal hub member 58 to the proximal member 60 may bevia a fastener, a quick-connect fitting, an adhesive, a press fit, aclamp, a snap fit, a threaded connection, or by any method of detachableattachment as known in the art.

For example, still referring to FIG. 4A, in this embodiment, each of thefirst and second members 82, 84 of the proximal and distal members 60,54 include a raised or slotted tooth or teeth 86 proximate to a firstend 88 of the first and second members 82, 84. Each of the first andsecond members 82, 84 may be configured to pivot around the aperture 74and to include a spring (not shown) on the second end 89, for example, atorsion spring, to force the first and second members 82, 84 towardseach other and in a closed position at the first end 88. Each of theproximal and distal hub members 58, 52 includes a notch 90 disposedtransversely thereacross. The notch 90 may include a longitudinal rib 92disposed therein. When each of the proximal and distal members 60, 54 isclosed by the force of the torsional spring, the tooth or teeth 86 isadapted to accommodate the longitudinal rib 92 in the transverse notch90. The proximal and distal members 60, 54 are thereby detachablyattached to the proximal and distal hub members 58, 52, respectively.The proximal and distal members 60, 54 may be detached from the proximaland distal hub members 58, 52, respectively, by applying a force tocounter the closing force of the torsional springs.

As shown in FIGS. 1-3, a plurality of tubes 94 enter the proximal hubmember 58 via a plurality of first hub apertures 96 (see FIG. 12) thatare sized to accommodate the plurality of tubes 94. Each of theplurality of tubes 94 includes one or more lumens that are broughttogether in the inner catheter 66, which exits the proximal hub member58 via a second hub aperture 98 (see FIG. 1). The plurality of tubes 94and/or lumens therein may be segregated or combined within the innercatheter 66 as desired or as needed such that the inner catheter 66 mayinclude a single lumen or a plurality of lumens disposed therethrough.Bioactive agents, flushing fluids, pressurized mechanical thrombolyticfluids, or other fluids may be infused through the plurality of tubes 94via the one or more lumens through the inner catheter 66 to the site oftreatment. Further details of an inner catheter including a plurality oflumens may be found in U.S. patent application Ser. No. 11/849,225,filed on Aug. 31, 2007, and incorporated in its entirety herein. Theillustration of four tubes 94 in FIGS. 1-4 is exemplary only; theproximal hub member 58 may accommodate any number of tubes as may bedesired or needed, for example, between about 1-10 tubes, alternatively,between about 1-5 tubes.

In operation, the hub assembly 50 begins in an extended state, asillustrated in FIG. 1. The inner and outer catheters 66, 64 arepositioned within a vascular member such that, for example, a distal endof the outer catheter 64 is proximate to a site of treatment. A distalend of the inner catheter 66 may include an intravascular medicaldevice, for example, a stent, a graft, a filter, imaging device, and thelike attached thereto, such that the intravascular medical device isheld within the outer catheter 64. The intravascular medical device isdeployed from the outer catheter 64 by longitudinally translating theouter catheter 64 proximally relative to the inner catheter 66. Whilethis operation may also be thought of as translating the inner catheter66 distally relative to the outer catheter 64, and is accomplished bylongitudinally translating the proximal and distal assemblies 62, 56closer together. It is generally preferable to maintain the medicaldevice associated with the inner catheter 66 in a stationary positionand withdraw the outer catheter 64 to expose and deploy the medicaldevice. In this embodiment, longitudinally translating the proximal anddistal assemblies 62, 56 closer together has the effect of translatingthe proximal and distal members 60, 54 closer together.

Another embodiment of a hub assembly 150 illustrated in FIGS. 5-6, whichis similar to the hub 50 described hereinabove with regard to FIGS. 1-4.However, in this embodiment, for example, the elongate member 72 has agenerally square cross-section and includes the surface groove 76extending longitudinally along each side of the elongate member 72, suchthat there are four surface grooves 76 on the elongate member 72.Alternatively, the elongate member 72 may include two surface grooves 76on opposing sides or adjacent sides, three surface grooves 76, and thelike. The elongate member 72 may, for example, be attached to theproximal member 60 via a press fit into the aperture 74. Alternatively,the elongate member 72 and the proximal member 60 may, for example, be asingle integrally manufactured member. The distal assembly 56 comprisesthe distal member 54 that connects onto the distal hub member 52 viaconnector 106, for example, a snap fit. Likewise, the proximal assembly62 comprises a proximal member 60 that connects onto the proximal hubmember 58 via connector 108, for example, a snap fit. As illustrated byFIG. 5, the proximal hub member 58 connects to the distal hub member 52via, for example, a snap fit with the connectors 102 when the proximalhub member 58 is translated towards distal hub member 52. The port 68extends from the distal hub member 52 and may additionally extendthrough the snap-fit connector for stability. Only a single connector106 is illustrated; however, a second snap-fit connector (not shown) mayextend from the distal member 54 from a side thereof opposite the firstsnap-fit connector 106 or adjacent to the first snap-fit connector.Likewise, a mating pair of third snap fit connectors (not shown) mayextend from the proximal hub member 58 on a side thereof opposite theproximal member 60 and from the distal hub member 52 on a side thereofopposite the distal member 54.

Referring to FIGS. 5 and 6A, the distal member 54 comprises at least twolateral wings 152 that are adapted to accommodate a finger on a distalside 154 of each of the lateral wings 152. As shown in FIG. 6A, theproximal member 60 comprises a longitudinally centered centraldepression 156 on a proximal side 158 thereof. The central depression156 is adapted to accommodate a thumb or other pressing device.Together, the lateral wings 152 and the central depression 156facilitate translating the proximal and distal assemblies 62, 56 towardone another ergonomically using only three fingers. Alternatively, twofingers may be used or other mechanical devices that may couple to theproximal and distal assemblies 62, 56 for translation towards eachother. FIG. 6A illustrates the proximal and distal members 60, 54translated towards each other and the proximal and distal members 60, 54detached from the proximal and distal hub members 58, 52. FIG. 6Billustrates the connector 102 snap fitting with the port 68 of thedistal hub member 52 when the distal hub member 52 is connected with theproximal hub member 52.

A further embodiment of a hub assembly 250 is illustrated in FIGS. 7-9.This embodiment includes features that are similar to the embodimentsdescribed hereinabove with regard to FIGS. 1-6. However, in thisembodiment, the proximal and distal assemblies 62, 56 include theproximal and distal hub members 58, 52, respectively, and are connectedby a telescoping member 252. FIG. 7 illustrates the telescoping member252 in an extended state;

however, the telescoping member 252 allows the proximal and distalassemblies 62, 56 (and corresponding proximal and distal hub members 58,52) to translate longitudinally relative to one another. A connectionbetween the proximal hub member 58 and the distal hub member 52 may beestablished when the telescoping member 252 is in a longitudinallycollapsed state. The telescoping member 252 is disposed laterallyadjacent to the inner catheter 66, which exits the proximal hub member58 at the second hub aperture 98. Alternatively, a plurality oftelescoping members 252 may be provided to connect the proximal anddistal hub members 58, 52, whereby two telescoping members 252 may be onopposite sides of the inner catheter 66, or two telescoping members 252may be adjacent to one another.

As shown in FIGS. 7-9, the telescoping member 252 comprises acollapsible beam including multiple beam segments 254. The multiple beamsegments 254 include a translation lock 256 to secure the telescopingmember 252, and thereby secure the proximal and distal assemblies 62, 56respectively including the proximal and distal hub members 58, 52 in afixed state. The translation lock 256 may be integral to the design or aremovable component. The telescoping member 252 may have any multiplenumber of beam segments 254 from as little as two to as many as 15 or20, or as many that are desired or needed. For example, additional beamsegments 254 may be added for a longer telescoping member 252. In thisembodiment, each beam segment 254 comprises a channel 258 that nestsinside or outside of an adjacent beam segment 254 such that all of thebeam segments may be collapsed to the size of the largest of the beamsegments 254. The beam segments may be rectangular, polygonal, circular,elliptical, pentagonal, hexagonal, and the like configurations such asto allow telescoping and translation along adjacent channels 258.

The translation lock 256 may secure the telescoping member 252 in afixed collapsed state, a fixed fully extended state, or a fixedpartially expanded state. Referring to FIGS. 8-9B, in this embodiment,the translation lock 256 comprises spherical detents 260 disposedproximate to proximal and/or distal ends 262, 264 of each beam segment254. Referring to FIGS. 9A-9B, each spherical detent 260 is configuredto include a bump (or extension) 266 on a first side 268 of each beamsegment 254 and/or a divot (or depression) 270 on a second side 272 ofeach beam segment 254 such that when first and second adjacently nestedbeam segments 254 longitudinally coincide, the bump 266 of the firstbeam segment 254 is captured within the divot 270 of the second beamsegment 254. The first and second beam segments 254 are thus securedfrom further translation without the application of sufficient force todisengage the bump 266 from the divot 270. Each of the spherical detents260 may be disposed on a cantilevered arm 274 of the beam segment 254,wherein the cantilevered arm 274 is defined by slots 276 disposedthrough the beam segment 254, as illustrated in FIGS. 9A-9B.

In other embodiments, the translation lock 256 may include otherstructural elements as known in the art that secure the proximal anddistal assemblies 62, 56 in a fixed longitudinal state. For example, thehub 50 as described hereinabove with regard to FIGS. 1-4 may utilize theset screw 78 disposed through the aperture 80 to fixedly secure one orboth of the proximal and distal members 60, 54 in a fixed longitudinalstate.

A further embodiment of a hub 350 that is similar to the hub 250described with regard to

FIGS. 7-9 hereinabove, is illustrated in FIGS. 10-12. In thisembodiment, a telescoping member 352 includes a collapsible tube 354disposed within beam segments 356 and adapted to accommodate the innercatheter 66 therethrough. In this embodiment, the telescoping member 352is adapted to be disposed around the inner catheter 66 and covers thesecond hub aperture 98, as shown in FIG. 10A. The collapsible tube 354is adapted to be disposed centrally through the proximal hub member 58and the distal hub member 52. As such, the proximal and distal hubmembers 58, 52 may include a central lumen for coaxially accommodatingthe collapsible tube 354. A tube attachment member 362 is fixablyattached to a proximal end of the collapsible tube 354, as shown inFIGS. 10-11. The tube attachment member 362 further comprises at leasttwo tabs 364 that project distally from the proximal side of the tubeattachment member 362. The tube attachment member 362 may attach to theproximal assembly 62 by the tabs 364 laterally flexing and snapping intoslots 366, which in this embodiment are configured to receive tabs 364at the proximal end of proximal assembly 62.

The hub assembly 350 is illustrated in an expanded state in FIGS. 10A-Band in a collapsed state in FIG. 11, which illustrates that the proximalhub member 58 connects to the distal hub member 52 when the telescopingmember 352 is in a longitudinally collapsed state.

At least two tabs 358 extend proximally from the distal assembly 56,which comprises the distal hub member 52. At least two slots 360 facedistally from the proximal assembly 62, which comprises the proximal hubmember 58. In the collapsed state illustrated in FIG. 11, the tabs 358laterally flex and snap into the slots 360 to provide a translation lock256 in the collapsed state. The plurality of first hub apertures 96, asdescribed hereinabove with regard to FIGS. 1-4, may be disposed in anyconfiguration and on any surface or surfaces of the proximal hub member58 or the tube attachment member 362. For example, the plurality offirst hub apertures 96 are disposed on a proximal surface of theproximal hub member 58, as illustrated in FIG. 12.

Another embodiment of a hub assembly 450 is illustrated in FIGS. 13-15.The hub assembly 450 shares many common features with the hubs 50, 150,250, 350 described hereinabove with regard to FIGS. 1-12. However, inthis embodiment, the distal assembly 56 including the distal hub 52, orthe proximal assembly 62 including the proximal hub member 58 may beattached to a breakaway elongate member 452 by a fixed attachment. Thefixed attachment may be via a fastener, an adhesive, a press fit, a snapfit, or via any method of attachment. At least two breakaway elongatemembers 452 may be utilized as illustrated in FIGS. 13-15; however asingle breakaway elongate member 452 or three or more breakaway elongatemembers 452 may be utilized as desired or as needed. The use of two ormore breakaway elongate members 452 may provide enhanced resistance torelative and absolute rotation of the proximal and distal assemblies 62,56.

Further, one or both of the proximal and distal assemblies 62, 56 may beslidably attached to the breakaway elongate member 452 via an aperture454 disposed longitudinally through the proximal assembly 62 and/or thedistal assembly 56. The aperture 454 is adapted to coaxially accommodatethe breakaway elongate member 452 and is further adapted to allow theproximal assembly 62 and/or the distal assembly 56 to slidelongitudinally on the breakaway elongate member 452. A slidableconnection between the breakaway elongate member 452 and one or both ofthe proximal assembly 62 and the distal assembly 56 may be facilitatedas described hereinabove for the hub 50.

The hub 450 is illustrated in an extended state in FIG. 13 and may besecured in the extended state by a translation lock 456 comprising, forexample, a press fit between the breakaway elongate member 452 and oneor both of the proximal and distal assemblies 62, 56. Alternatively, thetranslocation lock 456 may be an aperture through the proximal anddistal assemblies and set screw disposed therethrough to lock theelongate member in a surface groove as described previously. In FIG. 14,the proximal and distal assemblies 62, 56 have been brought together toa collapsed state via relative longitudinal translation along thebreakaway elongate member 452. The hub 450 may be secured in thecollapsed state by a translation lock 456 comprising, for example, apress fit between the breakaway elongate member 452 and one or both ofthe proximal and distal assemblies 62, 56. Further, in the collapsedstate illustrated in FIG. 14, the proximal and distal assemblies 62, 56and the proximal and distal hub members 58, 52 respectively includedtherein are in contact with one another and may be connected to oneanother. Such connection may be via a quick-connect fitting, a pressfit, a snap fit, a threaded connection, or by any method of detachableattachment as known in the art.

Subsequent to connection of the proximal and distal assemblies 62, 56 inthe collapsed state, the breakaway elongate member 452 may be left onthe hub 450, as illustrated in FIG. 14. However, the breakaway elongatemember 452 may alternatively be broken away as illustrated in FIG. 15 toprovide a shorter hub 450 and eliminate portions of the breakawayelongate member 452 that may snag on other apparatus or clothing.Accordingly, each breakaway elongate element 452 includes a region ofweakness 458 to facilitate breakage by application of a transverse forceor torsional shear force thereto.

The region of weakness 458 may comprise a region of the breakawayelongate member 452 that is relatively thinner than the portion of thebreakaway elongate member 452 outside of the region. The region ofweakness 458 is disposed on the breakaway elongate member 452 a distancefrom one of the proximal and distal hub members 58, 52 that is fixedlyattached thereto, wherein the distance is about equal to or greater thanthe longitudinal dimension of the other of the proximal and distal hubmembers. For example, referring to FIG. 15, the distance between theregion of weakness 458 and a proximal side of the distal hub member 52is identified by reference numeral 460. Likewise, the longitudinaldimension of the proximal hub member 58 is identified by referencenumeral 462. As long as the distance 460 is about equal to or greaterthan the distance 462, the region of weakness 458 will be near orproximal to the proximal surface of the proximal hub member 58, therebyfacilitating breakage at the region of weakness 458.

A further embodiment of a hub 550 illustrated in FIG. 16 is similar tothe hubs 50, 150, 250, 350, 450 described hereinabove with regard toFIGS. 1-15. However, in this embodiment the elongate member 72 includesa plurality of elongate members, for example, 72A and 72B, asillustrated. In this embodiment, both of the elongate members 72A, 72Bare disposed on the same side of the inner catheter 66. In otherembodiments, one of the elongate members 72A, 72B is disposed on eachside of the inner catheter 66. Further embodiments include three or moreelongate members 72 arranged on one or both sides of the inner catheter66 for additional stability of longitudinal movement of the proximal anddistal assemblies 56, 62.

The elongate members 72A, 72B are attached, for example, to the proximalmember 60 via a press fit into at least two apertures 74. Alternatively,the elongate members 72A, 72B are integrally fabricated with theproximal assembly 62 or the distal assembly 56. The distal assembly 56or the proximal assembly 62 slidably attaches to the elongate members72A, 72B. A translation lock 256 is provided to fixedly secure distalassembly 56 in a fixed longitudinal state relative to the proximalassembly 62. In one embodiment, the translation lock 256 may be a pressfit between the distal assembly 56 and one or both of the elongatemembers 72A, 72B, or an aperture through the distal assembly and setscrew therethrough to engage a surface groove on the elongate members asdescribed previously. In this embodiment, the proximal and distalmembers 60, 54 are integrally fabricated with or permanently attached tothe proximal and distal hub members 58, 52, respectively. In anotherembodiment, the proximal and distal members 60, 54 are detachablyattached to the proximal and distal hub members 58, 52, respectively.The proximal and distal member 60, 54 longitudinally align apertures 74such that elongate member 72A, 72B may fit therewith.

In the embodiment for the hub 550, three of the plurality of first hubapertures 96 (not shown) are disposed on a proximal surface of theproximal hub member 58 to accommodate the plurality of tubes 94, and afourth first hub aperture 106 is disposed on a lateral surface of theproximal hub member 58 to accommodate the tube 94. The proximal hubmember 58 connects to the distal hub member 52 via connection of thefirst and second connectors 100, 102. The method of connection may be,for example, a quick-connect fitting, a press fit, a snap fit, athreaded connection, a magnetic connection, or any method of detachableattachment.

FIGS. 17-18 illustrate another embodiment of a hub 650 that is verysimilar to the hub 550 described in regard to FIG. 16. The distalassembly 56 and distal member 54 is longitudinally translated along theelongate members 72A, 75B, whereby the apertures 74 of the distal membercoaxially engage the elongate members 72B, 72A. However, the hub 650includes a single inlet tube 109 that comprises the plurality of tubes94. In another embodiment, the elongate members 72A, 72B each include aregion of weakness 458, as described hereinabove with regard to FIGS.13-15, to facilitate breakage by application of a transverse force ortorsional shear force thereto. Referring to FIG. 18, for example, inthis embodiment, the region of weakness 458 is disposed on each elongatemember 72A, 72B just distal to the distal hub member 52 when the hub550, 650 is in a connected state via connectors 102, 100. Such placementof the regions of weakness 458 facilitates removal of portions of theelongate members 72A, 72B that may snag on other apparatus or clothingwhen the hub 550, 650 is in a connected state.

A further embodiment of a hub 750 illustrated in FIGS. 19A-20B issimilar to the hubs 50, 150, 250, 350, 450, 550, and 650 describedhereinabove with regard to FIGS. 1-18. However, in this embodiment, theproximal member 60 is shaped to be held in a user's hand and includes afirst side (See FIG. 19A) designed to detachably accommodate theproximal hub member 58 via, for example, a snap fit; however, detachableattachment of the proximal hub member 58 to the proximal member 60 maybe via a fastener, a quick-connect fitting, an adhesive, a press fit, aclamp, a snap fit, a threaded connection, or by any method of detachableattachment as known in the art. The proximal member 60 also includes aplurality of channels 752 disposed within the proximal member 60 toaccommodate the plurality of tubes 94.

In this embodiment, the elongate member 72 is integrally fabricated withthe distal member 54 and slides into the proximal member 60. The distalmember 54 detachably accommodates the distal hub member 52 via, forexample, a snap fit; however, detachable attachment of the distal hubmember 52 to the distal member 54 may be via a fastener, a quick-connectfitting, an adhesive, a press fit, a clamp, a snap fit, a magneticconnection, a threaded connection, or by any method of detachableattachment.

A second side of the proximal member 60 includes a recess 754 (See FIGS.19A-20B) and a translation lock 256 disposed at a distal end of therecess 754. The translation lock 256 engages the elongate member 72through the proximal member 60 to secure the proximal and distalassemblies 62, 56 a fixed distance apart and thereby lock out relativemotion between the proximal member 60 (and the proximal hub 58) and thedistal member 54 (and the distal hub 52) until such time as the medicalprofessional desires relative motion between the proximal and distalhubs 58, 52. Engagement between the translation lock 256 and theelongate member 72 may be, for example, via a press fit, an internalratchet arrangement, longitudinally spaced detents, screw and groove, orother any other engagement. The translation lock on the elongate member72 controls the linear motion of the elongate member 72, which may be anouter sheath, which prevents a distal filter or stent from prematurelybeing deployed due to friction or resistance during insertion of theouter sheath into the body or subject.

Referring to FIGS. 20A and 20B, the proximal hub member 58 connects tothe distal hub member 52 by any suitable means of detachable connectionas is known in the art, including by way of example and not limitation,a quick-connect fitting, a press fit, a snap fit, magnetic connection,or a threaded connection. For example, referring to FIGS. 19B and 20B,in one embodiment the first connector 100 comprises a flexible snap fitmember that snaps together with a complimentary snap fit member (notshown) disposed within the distal hub 52. The connector 100 on theproximal hub member may snap fit within the lumen of the distal hubmember 52. Alternatively, the proximal hub member 58 may include atrapezoidal or polygonal interface that mates with and is complimentaryto a trapezoidal or polygonal interface on the distal hub member 52. Thedistal hub member 52 may radially deform onto the outer surface of theproximal hub member 58 to provide for further mechanical interlocking.

FIGS. 21A-22C illustrate another embodiment of a hub 850 that is similarto the hub 750 described hereinabove in regard to FIGS. 19A-20B exceptfor the following differences. The hub 850 includes a proximal member 60that is relatively smaller than the proximal member 60 of the hub 750.Further, the proximal member 60 in this embodiment includes a pair ofarms 852 that are adapted to snap over the proximal hub member 58, whichmay include notches (not shown) and/or recesses 59 to accommodate thearms 852.

In addition, in this embodiment, the translation lock 256 includes apair of tabs 854 that are sufficiently outwardly biased so as to snapthrough apertures 856 when so aligned. Thus, relative motion between theproximal member 60 (and the proximal hub 58) and the distal member 54(and the distal hub 52) may be locked out in the extended state, asillustrated in FIGS. 22A-22C. The translation lock 256 may be defeatedby forcing the tabs 854 inwardly until the tabs 854 become disengagedfrom the apertures 856, thus allowing the proximal member 60 to slidedistally relative to the elongate member 72. The tabs 854 can beconnected together in a manner that prevents the extension lines of thecatheter from being caught between the tabs 854, where the relativemotion of the tabs 854 serving as a lock would not be compromised.

A hub assembly for a catheter is presented. The hub assembly provideskinking resistance to an inner catheter of a central access catheterduring retraction of an outer catheter of the central access catheter.Features such as a removable assembly, breakaway members, and atelescoping member facilitate compactness and ease of use for a medicalprofessional.

It will be appreciated by those skilled in the art that changes could bemade to the embodiments described hereinabove without departing from thebroad concepts disclosed therein. Various modifications, equivalentprocesses, as well as numerous structures to which the presentdisclosure may be applicable will be readily apparent to those of skillin the art to which the present disclosure is directed upon review ofthe present specification. It is understood, therefore, that thisdisclosure is not limited to the particular embodiments disclosed, butit is intended to cover modifications that may include a combination offeatures illustrated in one or more embodiments with featuresillustrated in any other embodiments. Accordingly, this description isto be construed as illustrative only and is presented for the purpose ofenabling those skilled in the art to make and use the hubs describedherein and to teach the best mode of carrying out the same.

We claim:
 1. A catheter hub, comprising: a distal assembly including adistal hub member adapted to be fixedly attached to an outer catheter; aproximal assembly including a proximal hub member adapted to be fixedlyattached to an inner catheter disposed through the outer catheter; andan elongate member connecting the proximal and distal assemblies suchthat the proximal and distal assemblies are capable of longitudinaltranslation relative to one another, wherein the distal assemblycomprises lateral wings adapted to accommodate a finger on a distal sideof each of the lateral wings and the proximal assembly comprises alongitudinally centered depression on a proximal side thereof adapted toaccommodate a thumb such that the distal and proximal assembly isadapted to be ergonomically brought together with three fingers.
 2. Thecatheter hub of claim 1, wherein the elongate member comprises atelescopic member.
 3. The catheter hub of claim 1, wherein the proximalhub member includes a plurality of first apertures adapted toaccommodate a plurality of tubes and a second aperture adapted toaccommodate the inner catheter.
 4. The catheter hub of claim 1, whereinthe distal member is detachably attached to the distal hub member andthe proximal member is detachably attached to the proximal hub member.5. A catheter hub, comprising: a distal hub member adapted to be fixedlyattached to an outer catheter; a proximal hub member adapted to befixedly attached to an inner catheter disposed through the outercatheter; a proximal member; a distal member; and an elongate memberconnecting the proximal and distal members, wherein at least one of theproximal and distal members is slidably attached to the elongate member;wherein the distal member is attached to the distal hub member and theproximal member is attached to the proximal hub member, wherein the atleast one of the proximal and distal members includes a first aperturedisposed therethrough to accommodate the elongate member and a secondaperture disposed therethrough adapted to accommodate a fastener tofixedly attach the at least one of the proximal and distal members tothe elongate member
 6. The catheter hub of claim 5, wherein the elongatemember includes a groove disposed longitudinally therein adapted toaccommodate the fastener.
 7. The catheter hub of claim 5, wherein theelongate member has a region of weakness disposed a distance from theone of the proximal and distal hub members fixedly attached thereto,wherein the distance is about equal to or greater than the longitudinaldimension of the other of the proximal and distal hub members
 8. Thecatheter hub of claim 7, wherein the region of weakness comprises aregion of the elongate member that is relatively thinner than theportion of the elongate member outside of the region.
 9. A catheter hub,comprising: a distal hub member adapted to be fixedly attached to anouter catheter; a proximal hub member adapted to be fixedly attached toan inner catheter disposed through the outer catheter; and a telescopingmember connecting the proximal and distal hub members; wherein theproximal hub member connects to the distal hub member when thetelescoping member is in a longitudinally collapsed state.
 10. Thecatheter hub of claim 9, wherein the proximal hub member connects to thedistal hub member by a type of connection selected from the group oftypes of connections consisting of: a snap fit connection, a threadedconnection, and a press fit connection, and wherein the telescopingmember includes a translation lock to secure the telescoping member in afixed extended state.
 11. The catheter hub of claim 10, wherein theproximal hub member includes a plurality of first apertures adapted toaccommodate a plurality of tubes and a second aperture adapted toaccommodate the inner catheter.
 12. The catheter hub of claim 11,wherein the telescoping member is hollow and is attached to the proximalhub member such that the second aperture is covered by the telescopingmember.
 13. The catheter hub of claim 11, wherein the telescoping memberis attached to the proximal hub member such that the second apertureremains uncovered by the telescoping member.